Organization
CASA SOBRIA, LLC
Active
Organization
CASA SOBRIA, LLC
Active
Other names
Casa Sobria
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY J COFFMAN JR. (MANAGING MEMBER)
(405) 900-3775
Entity
Organization
Contact information
Practice address
1832 NE 25TH ST, OKLAHOMA CITY, OK 73111-3342
(405) 900-3775
(405) 456-6900
Mailing address
1832 NE 25TH ST, OKLAHOMA CITY, OK 73111-3342
(405) 900-3775
(405) 456-6900
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
01/29/2025
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